We had a discussion today about this. The CPT description says "Injection of contrast during guidance and localization(77003) is included in codes XXX.

This needs to be read carefully and it helps to know the history of the remark. Some providers used to squirt just a little contrast during the procedures noted above and then try to bill for a epidurogram, 72275. This was seriously over-coding!

Therefore, the notation aboves says "if you use a little contrast during flouro guidance, don't code the epidurogram." It does not say Fluoroscopic guidance is included in the codes noted above.

Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.